hypercapnia
acidosis
hypoxia - Respiratory Failure-- Clinical Manifestations:
-Hallmark sign: _______________
-Limited chest expansion, abnormal sounds
-Confusion, grunting, nasal flaring, sternal retractions
-PaO2 <50 =__________
-PaCO2 >50=__________
-pH <7.35=___________
-SPO2 <90%=__________
80-100
35-45
22-26
7.35-7.45
compensated - Normal ABG Values:
PaO2: ________
PCO2:________
HCO3:_______
pH:________
HCO3 and CO2 are both outside of normal ranges= ___________
Full= pH within norms
Partial= pH not within norms
Uncompensated metabolic acidosis with hypoxia - What are the ABG results?
pH <7.35
PO2 <80
,PCO2 35-45
HCO3 <22
Fully compensated respiratory acidosis - What are the ABG results?
pH 7.35-7.45, closer to 7.35
PO2 90-100
PCO2 >45
HCO3 >30
Partially compensated metabolic alkalosis - What are the ABG results?
pH >7.45
PO2 80-100
PCO2 >45
HCO3 > 26
Compensated metabolic acidosis with hypoxia - What are the ABG results?
pH 7.35-7.45, closer to 7.35
PO2 <80
PCO2 <35
HCO3 <22
<50
>50
<7.35
<10
<25
<10 - Indications for Mechanical Ventilation with Respiratory Failure:
PaO2: ______________
PCO2: _____________
,pH:___________
Vital Capacity: ___________
Neg. Inspiratory Force:____________
FEV1:___________________
-Apnea or bradypnea
-Respiratory distress with confusion
-Increased WOB not relieved by interventions
-Confusion with need to protect airway
-Circulatory shock
Negative pressure ventilator - Type of Ventilator:
-Noninvasive
- (-) pressure forces air in
-Used for neuromuscular disorders
-Example: Iron lung, Chest cuirass
Positive pressure ventilator - Type of Ventilator:
-Invasive-- needs endotracheal tube
-Inflates lungs by exerting (+) pressure
-Pushes air in and forces aveoli to expand during inspiration
-Expiration occurs passively
-Example: Pressure cycled, volume cycled, high-frequency oscillary support
Pressure cycled
volume cycled
high frequency oscillary support - Positive Pressure Ventilators:
Pushes air in until pressure is met?
Pushes air in until volume is met?
Pushes air in at high rates and a low volume?
, 10-14
positive
layngoscope
carina - The endotracheal tube is a short term (_________ days) artificial airway
-Delivers ______________ pressure
-Protects airway
-Inserted with the aide of a ____________
-Rests 1-2 cm above ____________ (bifibrication of brochus)
Sedate
etomidate
succinylocholine
rocuronium
incisor
chest xray - For Rapid Sequence Endotracheal Intubation:
-Try to intubate without ambu-bag-- ____?____ right away
- Give induction agent: _________
-Follow neuromuscular blocking agents:
--___________- short half life, can hear & feel but can't move
--___________
-Monitor effects of medications
-Confirm bilateral breath sounds
-Tape tube mark level where it touches the ___________ and document
-Confirm placement with ______________
Restrain to maintain placement, per protocol